Author Question: The client taking phenytoin (Dilantin) asks the nurse what the side effects of the drug are. What ... (Read 26 times)

Awilson837 · **on:** Jul 24, 2018

The client taking phenytoin (Dilantin) asks the nurse what the side effects of the drug are. What should the nurse include in the response? (Select all that apply.)

Note: Credit will be given only if all correct choices and no incorrect choices are selected.

1. Bradycardia
2. Hyperglycemia
3. Stevens-Johnson syndrome
4. Hypoglycemia
5. Tachycardia

Question 2

The nurse is admitting a client to the floor with a diagnosis of migraine headache. The client relates she has had this type of headache for 12 years.

On admission, the client states the headaches are coming more frequently, which has forced her to quit her job. What type of pain is this client experiencing?

1. Surgical pain
2. Chronic pain
3. Neuropathic pain
4. Acute pain

honnalora · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

Correct Answer: 1, 2, 3

Rationale 1: Bradycardia is a possible side effect of phenytoin (Dilantin).
Rationale 2: Hyperglycemia is a possible side effect of phenytoin (Dilantin).
Rationale 3: Stevens-Johnson syndrome is a possible side effect of phenytoin (Dilantin).
Rationale 4: Phenytoin causes hyperglycemia.
Rationale 5: Phenytoin causes bradycardia not tachycardia.

Global Rationale: Possible side effects of phenytoin (Dilantin) include bradycardia, hyperglycemia, and Steven-Johnson syndrome. Hypoglycemia and tachycardia are not side effects of this medication.

Answer to Question 2

Correct Answer: 2

Rationale 1: Surgical pain is incorrect because chronic pain lasts for longer than 6 months.
Rationale 2: Chronic pain lasts for longer than 6 months.
Rationale 3: Neuropathic pain is incorrect because chronic pain lasts for longer than 6 months.
Rationale 4: Acute pain is incorrect because chronic pain lasts for longer than 6 months.

Global Rationale: Chronic pain lasts for longer than 6 months. Surgical pain is incorrect because chronic pain lasts for longer than 6 months. Neuropathic pain is incorrect because chronic pain lasts for longer than 6 months. Acute pain is incorrect because chronic pain lasts for longer than 6 months.